array:23 [
  "pii" => "S1130147306703700"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(06)70370-0"
  "estado" => "S300"
  "fechaPublicacion" => "2006-01-01"
  "aid" => "70370"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "2006"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 2006;17:54-9"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1897
    "formatos" => array:3 [
      "EPUB" => 18
      "HTML" => 1115
      "PDF" => 764
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147306703712"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(06)70371-2"
    "estado" => "S300"
    "fechaPublicacion" => "2006-01-01"
    "aid" => "70371"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 2006;17:60-3"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1659
      "formatos" => array:3 [
        "EPUB" => 20
        "HTML" => 895
        "PDF" => 744
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Complete surgical resection of high-grade astroblastoma with long time survival: case report and review of the literature"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "60"
          "paginaFinal" => "63"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Astroblastoma de alto grado con supervivencia prolongada tras resección completa: descripción de un caso y revisión de la literatura"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "P. Miranda, R.D. Lobato, P.A. Gómez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "P."
              "apellidos" => "Miranda"
            ]
            1 => array:2 [
              "nombre" => "R.D."
              "apellidos" => "Lobato"
            ]
            2 => array:2 [
              "nombre" => "P.A."
              "apellidos" => "Gómez"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "A. Cabello, A. Martínez de Aragón"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "A."
              "apellidos" => "Cabello"
            ]
            1 => array:2 [
              "nombre" => "A."
              "apellidos" => "Martínez de Aragón"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703712?idApp=UINPBA00004B"
    "url" => "/11301473/0000001700000001/v1_201305151250/S1130147306703712/v1_201305151250/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147306703694"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(06)70369-4"
    "estado" => "S300"
    "fechaPublicacion" => "2006-01-01"
    "aid" => "70369"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 2006;17:46-53"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1630
      "formatos" => array:3 [
        "EPUB" => 22
        "HTML" => 1037
        "PDF" => 571
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Primary central nervous system lymphomas in immunocompetent patients"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "46"
          "paginaFinal" => "53"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Linfomas primarios del sistema nervioso central en pacientes immunocompetentes"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "T. Alécio-Mattei, J. Alécio-Mattei, P.H. Aguiar"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "T."
              "apellidos" => "Alécio-Mattei"
            ]
            1 => array:2 [
              "nombre" => "J."
              "apellidos" => "Alécio-Mattei"
            ]
            2 => array:2 [
              "nombre" => "P.H."
              "apellidos" => "Aguiar"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "R. Ramina"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "R."
              "apellidos" => "Ramina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703694?idApp=UINPBA00004B"
    "url" => "/11301473/0000001700000001/v1_201305151250/S1130147306703694/v1_201305151250/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "titulo" => "Conjoined lumbosacral nerve roots: observations on three cases and review of the literature"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "54"
        "paginaFinal" => "59"
      ]
    ]
    "autores" => array:2 [
      0 => array:4 [
        "autoresLista" => "M. Artico, S. Franchitto"
        "autores" => array:2 [
          0 => array:3 [
            "nombre" => "M."
            "apellidos" => "Artico"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Franchitto"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Department of Human Physiology and Pharmacology V&#46; Erspamer&#46; University La Sapienza"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; Facolt&#224; di Farmacia&#46; Universit&#224; degli Studi di Roma &#8220;La Sapienza&#8221;&#44; P&#46;le Aldo Moro 5&#44; 00185 Roma&#46; Italy&#46;"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "S&#46; Carloia, M&#46; Piacentini, G&#46; Ferretti, M&#46; Dazzi, E&#46; Bronzetti"
        "autores" => array:5 [
          0 => array:3 [
            "nombre" => "S&#46;"
            "apellidos" => "Carloia"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Piacentini"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "G&#46;"
            "apellidos" => "Ferretti"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Dazzi"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Bronzetti"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;&#42;</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Addolorata Hospital Division of Radiology&#46; University La Sapienza&#46; Rome&#46; Italy"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0010"
          ]
          1 => array:3 [
            "entidad" => "Service of Neuroradiology&#46; University La Sapienza&#46; Rome&#46; Italy"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;</span>"
            "identificador" => "aff0015"
          ]
          2 => array:3 [
            "entidad" => "Department of Cardiovascular&#44; Respiratory and Morphological Sciences&#46; University La Sapienza&#46; Rome&#46; Italy"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;&#42;&#42;</span>"
            "identificador" => "aff0020"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Raices lumbares conjuntas&#58; a proposito de tres casos y revision de la literatura"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2005-01-31"
    "fechaAceptado" => "2005-08-20"
    "PalabrasClave" => array:2 [
      "en" => array:2 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec159160"
          "palabras" => array:5 [
            0 => "Lumbosacral nerve root anomalies"
            1 => "Conjoined nerve roots &#40;CNR&#41;"
            2 => "Spine"
            3 => "CT"
            4 => "MRI"
          ]
        ]
        1 => array:4 [
          "clase" => "abr"
          "titulo" => "Abreviaturas"
          "identificador" => "xpalclavsec159159"
          "palabras" => array:4 [
            0 => "CT"
            1 => "MRI"
            2 => "RM"
            3 => "TAC"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec159161"
          "palabras" => array:5 [
            0 => "Anomal&#237;as de los nervios raqu&#237;deos lumbares"
            1 => "Ra&#237;ces lumbares conjuntas &#40;RLC&#41;"
            2 => "Columna vertebral"
            3 => "Tomograf&#237;a Computarizada"
            4 => "Resonancia magn&#233;tica"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Lumbosacral nerve root anomalies are a rare group of congenital anatomical anomalies&#46; Various types of anomalies of the lumbosacral nerve roots have been documented in the available international literature&#46; Generally speaking&#44; these anomalies may consist of a bifid&#44; conjoined structure&#44; of a transverse course or of a characteristic anastomized appearance&#46; Firstly described as an incidental finding during autopsies or surgical procedures performed for lumbar disk herniations and often asymptomatic&#44; lumbosacral nerve root anomalies have been more frequently described in the last years due to the advances made in radiological diagnosis &#40;metrizamide myelography and CT&#44; MRI&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Our study comprised three patients with conjoined lumbosacral nerve roots&#44; representing 0&#46;25&#37; of a total of 1200 patients who underwent lumbosacral CT&#47;MRI procedures in the Addolorata Hospital and in the Service of Neuroradiology of the University of Rome &#8220;La Sapienza&#8221; during the last three years &#40;March 2001-March 2004&#41;&#46; We report our experience with three cases of conjoined lumbosacral nerve roots and analyze the most important literature on this topic&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">MR imaging is a better diagnostic procedure &#40;in comparison to CT&#41; for the differentiation of nerve root anomalies and&#44; in particular&#44; coronal sections furnish a precise definition of the profile of the conjoined&#47;enlarged rootlets&#46; In fact&#44; the accurate information derived from MRI of multiple planes may be priceless for the preoperative and diagnostic evaluation of lumbosacral nerve root anomalies&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las anomal&#237;as cong&#233;nitas de los nervios raqu&#237;deos lumbares no son muy frecuentes y suelen ser dif&#237;ciles de detectar en TAC sin contraste&#46; La ra&#237;ces lumbares pueden ser conjuntas o b&#237;fidas y frecuentemente son descubiertas en las autopsias cl&#237;nicas&#46; Cursan habitualmente con dolor &#40;episodios de lumbalgia y lumbociatalgia&#41; y sin d&#233;ficit motor ni sensitivo&#46; Las ra&#237;ces conjuntas frecuentemente se aprecian en la RM&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Presentamos tres casos de ra&#237;ces lumbares conjuntas intervenidos en el Servicio de Radiolog&#237;a del Hospital Addolorata de Roma y en el Servicio de Neurorradiolog&#237;a del Hospital Universitario de Roma &#8220;La Sapienza&#8221; entre 2001 y 2004&#44; representando 0&#46;25&#37; de todos los 1200 pacientes evaluados mediante TAC y RM&#44; y revisamos los aspectos diagn&#243;sticos presentados en la literatura mundial&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La RM es&#44; en muchas ocasiones&#44; superior a la TAC simple en el diagn&#243;stico de las anomal&#237;as de las ra&#237;ces nerviosas&#59; adem&#225;s la RM tiene la ventaja de los planos sagitales y coronales&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La visualizaci&#243;n de la m&#233;dula y la cola de caballo&#44; sin necesidad de contraste intratecal&#44; hace que la RM sea el examen ideal para identificar las ra&#237;ces nerviosas conjuntas&#44; ofreciendo una ventaja clara sobre la TAC&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Artico&#44; M&#46;&#59; Carloia&#44; S&#46;&#59; Piacentini&#44; M&#46;&#59; Ferretti&#44; G&#46;&#59; Dazzi&#44; M&#46;&#59; Franchitto&#44; S&#46;&#59; Bronzetti&#44; E&#46;&#58; Conjoined lumbosacral nerve roots&#58; observations on three cases and review of the literature&#46; Neurocirug&#237;a 2006&#59; 17&#58; 54&#8211;59&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:26 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metrizamide myelography and the identification of anomalous lumbosacral nerve roots&#46; Report of two cases and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46;M&#46; Bernini"
                            1 => "S&#46;W&#46; Wiesel"
                            2 => "R&#46;H&#46; Rothman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Joint Surg A"
                        "fecha" => "1980"
                        "volumen" => "62"
                        "paginaInicial" => "1203"
                        "paginaFinal" => "1208"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conjoined lumbosacral nerve roots&#46; Diagnosis with metrizamide myelography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;S&#46; Cail"
                            1 => "A&#46;B&#46; Butler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1983"
                        "volumen" => "20"
                        "paginaInicial" => "113"
                        "paginaFinal" => "119"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6879407"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nerve-root anomalies in lumbar disc surgery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Cannon"
                            1 => "S&#46; Hunter"
                            2 => "J&#46; Picaza"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1962.19.3.0208"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1962"
                        "volumen" => "19"
                        "paginaInicial" => "208"
                        "paginaFinal" => "214"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13876232"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Metrizamide myelography in conjoined lumbosacral nerve roots"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;R&#46; Coughlin"
                            1 => "J&#46;D&#46; Miller"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Can Assoc Radiol"
                        "fecha" => "1983"
                        "volumen" => "34"
                        "paginaInicial" => "23"
                        "paginaFinal" => "25"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6841415"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Microsurgical anatomy of lumbosacral spinal roots"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; D&#8217;Avella"
                            1 => "S&#46; Mingrino"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1979.51.6.0819"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1979"
                        "volumen" => "51"
                        "paginaInicial" => "819"
                        "paginaFinal" => "823"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/501425"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sciatica&#46; Etiology and treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;M&#46; Deyerle"
                            1 => "V&#46;R&#46; May"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Orthop"
                        "fecha" => "1954"
                        "volumen" => "4"
                        "paginaInicial" => "166"
                        "paginaFinal" => "179"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13209815"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anatomical abnormalities of the lumbosacral roots in surgery of compression syndrome due to suspected hernia of the disc"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "I&#46; Dragonetti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Arch Orthop"
                        "fecha" => "1967"
                        "volumen" => "80"
                        "paginaInicial" => "265"
                        "paginaFinal" => "282"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Malformation of the lumbar spinal roots and sheats in the causation of low backache and sciatica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Ethelberg"
                            1 => "J&#46; Riishede"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Joint Surg B"
                        "fecha" => "1952"
                        "volumen" => "34"
                        "paginaInicial" => "442"
                        "paginaFinal" => "446"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anomalie anatomiche delle radici lombari"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46; Fineschi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Putti Chir Org Mov"
                        "fecha" => "1952"
                        "volumen" => "2"
                        "paginaInicial" => "222"
                        "paginaFinal" => "236"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of lumbosacral nerve root anomalies by magnetic resonance imaging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "W&#46; Haijiao"
                            1 => "M&#46; Koti"
                            2 => "F&#46;W&#46; Smith"
                            3 => "D&#46; Wardlaw"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Spinal Disorders"
                        "fecha" => "2001"
                        "volumen" => "14"
                        "paginaInicial" => "143"
                        "paginaFinal" => "149"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anomalies of the lumbosacral nerve roots&#46; An anatomical investigation and myelographic study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;J&#46; Kadish"
                            1 => "E&#46;H&#46; Simmons"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Joint Surg B"
                        "fecha" => "1984"
                        "volumen" => "66"
                        "paginaInicial" => "411"
                        "paginaFinal" => "416"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anatomic and clinical studies of radicular symptoms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Kikuchi"
                            1 => "M&#46; Hasue"
                            2 => "K&#46; Nishiyama"
                            3 => "T&#46; Ito"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1984"
                        "volumen" => "9"
                        "paginaInicial" => "23"
                        "paginaFinal" => "30"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6719254"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Anomalies of the lumbosacral nerve roots"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "F&#46; Maiuri"
                            1 => "A&#46; Gambardella"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurological Research"
                        "fecha" => "1989"
                        "volumen" => "11"
                        "paginaInicial" => "130"
                        "paginaFinal" => "135"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2573845"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Developmental asymmetry of roots of the cauda equina at metrizamide myelography&#58; report of seven cases and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46;C&#46; McCormick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Radiol"
                        "fecha" => "1982"
                        "volumen" => "33"
                        "paginaInicial" => "427"
                        "paginaFinal" => "434"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7083741"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Case report&#58; congenital absence of a pedicle of a lumbar vertebra"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;J&#46; Norman"
                            1 => "C&#46; Johnson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1259/0007-1285-46-548-631"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Radiol"
                        "fecha" => "1973"
                        "volumen" => "46"
                        "paginaInicial" => "631"
                        "paginaFinal" => "633"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4783059"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Computed tomography of lumbosacral conjoined nerve root anomalies&#46; Potential cause of false positive reading for herniated nucleus polposus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;G&#46; Peyster"
                            1 => "J&#46;G&#46; Teplick"
                            2 => "M&#46;E&#46; Haskin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Spine"
                        "fecha" => "1985"
                        "volumen" => "10"
                        "paginaInicial" => "331"
                        "paginaFinal" => "337"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4049094"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lumbosacral nerve root anomalies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Postacchini"
                            1 => "S&#46; Urso"
                            2 => "L&#46; Ferro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Bone Joint Surg A"
                        "fecha" => "1982"
                        "volumen" => "64"
                        "paginaInicial" => "721"
                        "paginaFinal" => "729"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The intervertebral disc&#58; surgical technique"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "F&#46;C&#46; Reynolds"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Instructional Course Lectures"
                        "fecha" => "1954"
                        "volumen" => "11"
                        "paginaInicial" => "121"
                        "paginaFinal" => "125"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:1 [
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46; Savas"
                            1 => "C&#46; Calli"
                            2 => "N&#46; Yunten"
                            3 => "H&#46; Alper"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Computerized Med Imaging Graph"
                        "fecha" => "1998"
                        "volumen" => "22"
                        "paginaInicial" => "77"
                        "paginaFinal" => "79"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Agenesis of a lumbar pedicle&#58; MR demonstration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;N&#46; Sener"
                            1 => "G&#46;T&#46; Ripeckyi"
                            2 => "J&#46;R&#46; Jinkins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neuroradiology"
                        "fecha" => "1991"
                        "volumen" => "33"
                        "paginaInicial" => "464"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1749487"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Agenesis of a sacral pedicle and superior facet&#58; CT and MR demonstration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;N&#46; Sener"
                            1 => "H&#46; Alper"
                            2 => "N&#46; Yunten"
                            3 => "T&#46; Yalin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Eur Radiol"
                        "fecha" => "1994"
                        "volumen" => "4"
                        "paginaInicial" => "587"
                        "paginaFinal" => "588"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "CT diagnosis of lumbosacral conjoined nerve roots&#46; Findings in 19 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Torricelli"
                            1 => "V&#46; Spina"
                            2 => "C&#46; Martinelli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neuroradiology"
                        "fecha" => "1987"
                        "volumen" => "29"
                        "paginaInicial" => "374"
                        "paginaFinal" => "379"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3454654"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Surgical treatment of 63 cases of conjoined nerve roots"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;G&#46; White III"
                            1 => "T&#46;A&#46; Strait"
                            2 => "J&#46;R&#46; Binkley"
                            3 => "S&#46;E&#46; Hunter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1982.56.1.0114"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1982"
                        "volumen" => "56"
                        "paginaInicial" => "114"
                        "paginaFinal" => "117"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7054404"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Congenitally absent lumbar pedicle&#58; a reappraisal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46; Wortzman"
                            1 => "M&#46;I&#46; Steinhardt"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.152.3.6463253"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1984"
                        "volumen" => "152"
                        "paginaInicial" => "713"
                        "paginaFinal" => "718"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6463253"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Congenital aplastic-hypoplastic lumbar pedicle in infants and young children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;K&#46; Yousefzadeh"
                            1 => "G&#46;Y&#46; El-Khoury"
                            2 => "A&#46;R&#46; Lupetin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Skeletal Radiology"
                        "fecha" => "1982"
                        "volumen" => "7"
                        "paginaInicial" => "259"
                        "paginaFinal" => "265"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7071624"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reperto di un tipo non conosciuto di anastomosi nervosa delle radici spinali"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46; Zagnoni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Atti Soc Med Chir Padova"
                        "fecha" => "1949"
                        "volumen" => "27"
                        "paginaInicial" => "48"
                        "paginaFinal" => "52"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/11301473/0000001700000001/v1_201305151250/S1130147306703700/v1_201305151250/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001700000001/v1_201305151250/S1130147306703700/v1_201305151250/en/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147306703700?idApp=UINPBA00004B"
]
Compartir
Información de la revista
Vol. 17. Núm. 1.
Páginas 54-59 (enero 2005)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 17. Núm. 1.
Páginas 54-59 (enero 2005)
Conjoined lumbosacral nerve roots: observations on three cases and review of the literature
Raices lumbares conjuntas: a proposito de tres casos y revision de la literatura
Visitas
1881
M. Artico
, S. Franchitto
Department of Human Physiology and Pharmacology V. Erspamer. University La Sapienza
S. Carloia*, M. Piacentini*, G. Ferretti*, M. Dazzi**, E. Bronzetti***
* Addolorata Hospital Division of Radiology. University La Sapienza. Rome. Italy
** Service of Neuroradiology. University La Sapienza. Rome. Italy
*** Department of Cardiovascular, Respiratory and Morphological Sciences. University La Sapienza. Rome. Italy
Este artículo ha recibido
Información del artículo
Resumen
Bibliografía
Descargar PDF
Estadísticas
Summary

Lumbosacral nerve root anomalies are a rare group of congenital anatomical anomalies. Various types of anomalies of the lumbosacral nerve roots have been documented in the available international literature. Generally speaking, these anomalies may consist of a bifid, conjoined structure, of a transverse course or of a characteristic anastomized appearance. Firstly described as an incidental finding during autopsies or surgical procedures performed for lumbar disk herniations and often asymptomatic, lumbosacral nerve root anomalies have been more frequently described in the last years due to the advances made in radiological diagnosis (metrizamide myelography and CT, MRI).

Our study comprised three patients with conjoined lumbosacral nerve roots, representing 0.25% of a total of 1200 patients who underwent lumbosacral CT/MRI procedures in the Addolorata Hospital and in the Service of Neuroradiology of the University of Rome “La Sapienza” during the last three years (March 2001-March 2004). We report our experience with three cases of conjoined lumbosacral nerve roots and analyze the most important literature on this topic.

MR imaging is a better diagnostic procedure (in comparison to CT) for the differentiation of nerve root anomalies and, in particular, coronal sections furnish a precise definition of the profile of the conjoined/enlarged rootlets. In fact, the accurate information derived from MRI of multiple planes may be priceless for the preoperative and diagnostic evaluation of lumbosacral nerve root anomalies.

Key words:
Lumbosacral nerve root anomalies
Conjoined nerve roots (CNR)
Spine
CT
MRI
Abreviaturas:
CT
MRI
RM
TAC
Resumen

Las anomalías congénitas de los nervios raquídeos lumbares no son muy frecuentes y suelen ser difíciles de detectar en TAC sin contraste. La raíces lumbares pueden ser conjuntas o bífidas y frecuentemente son descubiertas en las autopsias clínicas. Cursan habitualmente con dolor (episodios de lumbalgia y lumbociatalgia) y sin déficit motor ni sensitivo. Las raíces conjuntas frecuentemente se aprecian en la RM.

Presentamos tres casos de raíces lumbares conjuntas intervenidos en el Servicio de Radiología del Hospital Addolorata de Roma y en el Servicio de Neurorradiología del Hospital Universitario de Roma “La Sapienza” entre 2001 y 2004, representando 0.25% de todos los 1200 pacientes evaluados mediante TAC y RM, y revisamos los aspectos diagnósticos presentados en la literatura mundial.

La RM es, en muchas ocasiones, superior a la TAC simple en el diagnóstico de las anomalías de las raíces nerviosas; además la RM tiene la ventaja de los planos sagitales y coronales.

La visualización de la médula y la cola de caballo, sin necesidad de contraste intratecal, hace que la RM sea el examen ideal para identificar las raíces nerviosas conjuntas, ofreciendo una ventaja clara sobre la TAC.

Palabras clave:
Anomalías de los nervios raquídeos lumbares
Raíces lumbares conjuntas (RLC)
Columna vertebral
Tomografía Computarizada
Resonancia magnética

Artículo

Opciones para acceder a los textos completos de la publicación Neurocirugía
Socio
Socio de la Sociedad Española de Neurocirugía

Si es la primera vez que accede a la web puede obtener sus claves de acceso poniéndose en contacto con Elsevier España en suscripciones@elsevier.com o a través de su teléfono de Atención al Cliente 902 88 87 40 si llama desde territorio español o del +34 932 418 800 (de 9 a 18h., GMT + 1) si lo hace desde el extranjero.

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".

Suscriptor
Suscriptor de la revista

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".
Suscribirse
Suscribirse a:

Neurocirugía

Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora
Contactar
Teléfono para suscripciones e incidencias
De lunes a viernes de 9h a 18h (GMT+1) excepto los meses de julio y agosto que será de 9 a 15h
Llamadas desde España
932 415 960
Llamadas desde fuera de España
+34 932 415 960
Email
Idiomas
Neurocirugía
Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?